Assessing Contraceptive Switching and Discontinuation Over 3 Years in the HER Salt Lake Study
To assess contraceptive switching and discontinuation among participants enrolled in a contraceptive access project over 3 years and to identify variables associated with contraceptive change. The HER Salt Lake study enrolled individuals between 2015 and 2017 from four clinics in Salt Lake County in...
Gespeichert in:
| Veröffentlicht in: | Obstetrics and gynecology (New York. 1953) Jg. 144; H. 1; S. 79 |
|---|---|
| Hauptverfasser: | , , , |
| Format: | Journal Article |
| Sprache: | Englisch |
| Veröffentlicht: |
United States
01.07.2024
|
| Schlagworte: | |
| ISSN: | 1873-233X, 1873-233X |
| Online-Zugang: | Weitere Angaben |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| Abstract | To assess contraceptive switching and discontinuation among participants enrolled in a contraceptive access project over 3 years and to identify variables associated with contraceptive change.
The HER Salt Lake study enrolled individuals between 2015 and 2017 from four clinics in Salt Lake County into a prospective, longitudinal cohort. All participants were able to switch or discontinue at no cost (between March 2016 and March 2020). We collected eight follow-up surveys over 3 years after enrollment. Each survey wave included questions about method use in the previous 4 weeks. We categorized participants in three ways, allowing for time-varying outcomes by wave: 1) those who reported using the same method as previous wave (continuers), 2) those who reported using a different method from previous wave (switchers), and 3) those who reported using no contraceptive method at that wave (discontinuers). We report the frequency of outcomes and conducted multinomial regression models assessing predictors of switching and discontinuation.
Among 4,289 participants included in this analysis, 2,179 (50.8%) reported at least one instance of switching or discontinuation, and 2,110 (49.1%) reported continuing with their baseline method at the end of the study. Those reporting method change (switching or discontinuing) reported an average of 1.93 change events over the study follow-up period (range 1-8). Among those reporting any method change, 522 participants (23.9%) reporting at least one instance of both switching and discontinuation. Among those reporting any instance of discontinuation (n=966), 498 (51.6%) never reported uptake of a subsequent method. Among those who did report a subsequent method (n=468), 210 (44.8%) reported restarting a previously used method, and 258 (55.1%) reported starting a new method. Although we identified overlap among variables associated with switching and discontinuation, other predictors were discordant between switching and discontinuation.
New contraceptive users commonly switch and discontinue methods. User behavior is associated with certain demographic characteristics and pregnancy planning.
ClinicalTrials.gov , NCT02734199. |
|---|---|
| AbstractList | To assess contraceptive switching and discontinuation among participants enrolled in a contraceptive access project over 3 years and to identify variables associated with contraceptive change.OBJECTIVETo assess contraceptive switching and discontinuation among participants enrolled in a contraceptive access project over 3 years and to identify variables associated with contraceptive change.The HER Salt Lake study enrolled individuals between 2015 and 2017 from four clinics in Salt Lake County into a prospective, longitudinal cohort. All participants were able to switch or discontinue at no cost (between March 2016 and March 2020). We collected eight follow-up surveys over 3 years after enrollment. Each survey wave included questions about method use in the previous 4 weeks. We categorized participants in three ways, allowing for time-varying outcomes by wave: 1) those who reported using the same method as previous wave (continuers), 2) those who reported using a different method from previous wave (switchers), and 3) those who reported using no contraceptive method at that wave (discontinuers). We report the frequency of outcomes and conducted multinomial regression models assessing predictors of switching and discontinuation.METHODSThe HER Salt Lake study enrolled individuals between 2015 and 2017 from four clinics in Salt Lake County into a prospective, longitudinal cohort. All participants were able to switch or discontinue at no cost (between March 2016 and March 2020). We collected eight follow-up surveys over 3 years after enrollment. Each survey wave included questions about method use in the previous 4 weeks. We categorized participants in three ways, allowing for time-varying outcomes by wave: 1) those who reported using the same method as previous wave (continuers), 2) those who reported using a different method from previous wave (switchers), and 3) those who reported using no contraceptive method at that wave (discontinuers). We report the frequency of outcomes and conducted multinomial regression models assessing predictors of switching and discontinuation.Among 4,289 participants included in this analysis, 2,179 (50.8%) reported at least one instance of switching or discontinuation, and 2,110 (49.1%) reported continuing with their baseline method at the end of the study. Those reporting method change (switching or discontinuing) reported an average of 1.93 change events over the study follow-up period (range 1-8). Among those reporting any method change, 522 participants (23.9%) reporting at least one instance of both switching and discontinuation. Among those reporting any instance of discontinuation (n=966), 498 (51.6%) never reported uptake of a subsequent method. Among those who did report a subsequent method (n=468), 210 (44.8%) reported restarting a previously used method, and 258 (55.1%) reported starting a new method. Although we identified overlap among variables associated with switching and discontinuation, other predictors were discordant between switching and discontinuation.RESULTSAmong 4,289 participants included in this analysis, 2,179 (50.8%) reported at least one instance of switching or discontinuation, and 2,110 (49.1%) reported continuing with their baseline method at the end of the study. Those reporting method change (switching or discontinuing) reported an average of 1.93 change events over the study follow-up period (range 1-8). Among those reporting any method change, 522 participants (23.9%) reporting at least one instance of both switching and discontinuation. Among those reporting any instance of discontinuation (n=966), 498 (51.6%) never reported uptake of a subsequent method. Among those who did report a subsequent method (n=468), 210 (44.8%) reported restarting a previously used method, and 258 (55.1%) reported starting a new method. Although we identified overlap among variables associated with switching and discontinuation, other predictors were discordant between switching and discontinuation.New contraceptive users commonly switch and discontinue methods. User behavior is associated with certain demographic characteristics and pregnancy planning.CONCLUSIONNew contraceptive users commonly switch and discontinue methods. User behavior is associated with certain demographic characteristics and pregnancy planning.ClinicalTrials.gov , NCT02734199.CLINICAL TRIAL REGISTRATIONClinicalTrials.gov , NCT02734199. To assess contraceptive switching and discontinuation among participants enrolled in a contraceptive access project over 3 years and to identify variables associated with contraceptive change. The HER Salt Lake study enrolled individuals between 2015 and 2017 from four clinics in Salt Lake County into a prospective, longitudinal cohort. All participants were able to switch or discontinue at no cost (between March 2016 and March 2020). We collected eight follow-up surveys over 3 years after enrollment. Each survey wave included questions about method use in the previous 4 weeks. We categorized participants in three ways, allowing for time-varying outcomes by wave: 1) those who reported using the same method as previous wave (continuers), 2) those who reported using a different method from previous wave (switchers), and 3) those who reported using no contraceptive method at that wave (discontinuers). We report the frequency of outcomes and conducted multinomial regression models assessing predictors of switching and discontinuation. Among 4,289 participants included in this analysis, 2,179 (50.8%) reported at least one instance of switching or discontinuation, and 2,110 (49.1%) reported continuing with their baseline method at the end of the study. Those reporting method change (switching or discontinuing) reported an average of 1.93 change events over the study follow-up period (range 1-8). Among those reporting any method change, 522 participants (23.9%) reporting at least one instance of both switching and discontinuation. Among those reporting any instance of discontinuation (n=966), 498 (51.6%) never reported uptake of a subsequent method. Among those who did report a subsequent method (n=468), 210 (44.8%) reported restarting a previously used method, and 258 (55.1%) reported starting a new method. Although we identified overlap among variables associated with switching and discontinuation, other predictors were discordant between switching and discontinuation. New contraceptive users commonly switch and discontinue methods. User behavior is associated with certain demographic characteristics and pregnancy planning. ClinicalTrials.gov , NCT02734199. |
| Author | Turok, David K Simmons, Rebecca G Sanders, Jessica N Carter, Gentry |
| Author_xml | – sequence: 1 givenname: Rebecca G surname: Simmons fullname: Simmons, Rebecca G organization: Division of Family Planning, Department of Obstetrics and Gynecology, University of Utah, Salt Lake City, Utah – sequence: 2 givenname: Gentry surname: Carter fullname: Carter, Gentry – sequence: 3 givenname: Jessica N surname: Sanders fullname: Sanders, Jessica N – sequence: 4 givenname: David K surname: Turok fullname: Turok, David K |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/38781634$$D View this record in MEDLINE/PubMed |
| BookMark | eNpNkFtLw0AQhRep2Iv-A5F99CV1b8luHkvtRSgUrII-SNhuJnY13dTsptJ_b8QKnZcznPnmMEwfdVzlAKFrSoaUpPJutJwNyUnFCaNnqEeV5BHj_KVz0ndR3_uPFqJJyi9QlyupaMJFD72NvAfvrXvH48qFWhvYBbsHvPq2wWx-fe1yfG-9acfWNTrYyuHlHmrM8Svo2mPrcNgAnk8e8UqXAS_0Z7sfmvxwic4LXXq4OuoAPU8nT-N5tFjOHsajRWRErGjEicy1jDktYr3Wkoo4F1oZIYziCkDSNAZVSEkVLdKEsNYlZi0ES01hSEHYAN3-5e7q6qsBH7JtezCUpXZQNT7jJCFcCclki94c0Wa9hTzb1Xar60P2_xL2A4J6ZI4 |
| CitedBy_id | crossref_primary_10_1016_j_contraception_2025_110938 |
| ContentType | Journal Article |
| Copyright | Copyright © 2024 The Author(s). Published by Wolters Kluwer Health, Inc. |
| Copyright_xml | – notice: Copyright © 2024 The Author(s). Published by Wolters Kluwer Health, Inc. |
| DBID | CGR CUY CVF ECM EIF NPM 7X8 |
| DOI | 10.1097/AOG.0000000000005621 |
| DatabaseName | Medline MEDLINE MEDLINE (Ovid) MEDLINE MEDLINE PubMed MEDLINE - Academic |
| DatabaseTitle | MEDLINE Medline Complete MEDLINE with Full Text PubMed MEDLINE (Ovid) MEDLINE - Academic |
| DatabaseTitleList | MEDLINE - Academic MEDLINE |
| Database_xml | – sequence: 1 dbid: NPM name: PubMed url: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 2 dbid: 7X8 name: MEDLINE - Academic url: https://search.proquest.com/medline sourceTypes: Aggregation Database |
| DeliveryMethod | no_fulltext_linktorsrc |
| Discipline | Medicine |
| EISSN | 1873-233X |
| ExternalDocumentID | 38781634 |
| Genre | Journal Article |
| GeographicLocations | Utah |
| GeographicLocations_xml | – name: Utah |
| GrantInformation_xml | – fundername: Society of Family Planning grantid: UL1TR002538 – fundername: Society of Family Planning, William and Flora Hewlett Foundation, Willard L. Eccles Charitable Foundation, Intermountain Community Care Foundation, University of Utah Population Health Research Fund, National Center for Research Resources, National Center for Advancing Translational Sciences, Foundation for the National Institutes of Health grantid: UL1TR002538 – fundername: NICHD NIH HHS grantid: K24 HD087436 – fundername: NCATS NIH HHS grantid: UL1 TR000105 – fundername: NCATS NIH HHS grantid: UL1 TR002538 – fundername: NCATS NIH HHS grantid: UL1 TR001067 – fundername: NCRR NIH HHS grantid: UL1 RR025764 |
| GroupedDBID | --- .XZ .Z2 01R 0R~ 123 1J1 2CO 354 40H 4Q1 4Q2 4Q3 53G 5RE 5VS 77Y 7O~ 85S AAAAV AAAXR AAGIX AAHPQ AAIQE AAJCS AAMOA AAMTA AAQKA AARTV AASCR AASOK AASXQ AAUEB AAWTL AAXQO ABASU ABBUW ABDIG ABJNI ABPXF ABVCZ ABXVJ ABXYN ABZAD ABZZY ACDDN ACDOF ACEWG ACGFO ACGFS ACILI ACLDA ACOAL ACWDW ACWRI ACXJB ACXNZ ACZKN ADBBV ADGGA ADHPY ADSXY AEBDS AENEX AFBFQ AFDTB AFEXH AFFNX AFMBP AFNMH AFSOK AFUWQ AGINI AHOMT AHQNM AHQVU AHVBC AIJEX AINUH AJCLO AJIOK AJNWD AJZMW AKCTQ AKRWK AKULP ALKUP ALMA_UNASSIGNED_HOLDINGS ALMTX AMJPA AMKUR AMNEI AOHHW AOQMC BAWUL BOYCO BQLVK BYPQX C45 CGR CS3 CUY CVF DIWNM DU5 E.X EBS ECM EEVPB EIF ERAAH EX3 F2K F2L F2M F2N F5P FCALG FD6 FDB FL- FW0 GNXGY GQDEL H0~ HLJTE HZ~ IKREB IKYAY IN~ IPNFZ JF9 JG8 JK3 JK8 K-A K-F K8S KD2 KMI L-C L7B MZP N9A NEJ NPM N~7 N~B O9- OAG OAH OBH ODMTH OHH OHYEH OL1 OLB OLG OLH OLU OLV OLY OLZ OPUJH OVD OVDNE OVIDH OVLEI OVOZU OWBYB OWU OWV OWX OWY OWZ OXXIT P2P RIG RLZ S4R S4S TEORI TSPGW TWZ UHB V2I VVN W3M WH7 WOQ WOW X3V X3W XXN XYM ZB8 ~S- 7X8 ACBKD ADKSD |
| ID | FETCH-LOGICAL-c4581-307da7531f5aba7145d4a8c44c838ee7195e8f77181f96028380cb4429cfc0f02 |
| IEDL.DBID | 7X8 |
| ISICitedReferencesCount | 1 |
| ISICitedReferencesURI | http://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=Summon&SrcAuth=ProQuest&DestLinkType=CitingArticles&DestApp=WOS_CPL&KeyUT=001256808200030&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D |
| ISSN | 1873-233X |
| IngestDate | Sun Nov 09 09:53:07 EST 2025 Thu Aug 14 01:43:20 EDT 2025 |
| IsDoiOpenAccess | false |
| IsOpenAccess | true |
| IsPeerReviewed | true |
| IsScholarly | true |
| Issue | 1 |
| Language | English |
| License | Copyright © 2024 The Author(s). Published by Wolters Kluwer Health, Inc. |
| LinkModel | DirectLink |
| MergedId | FETCHMERGED-LOGICAL-c4581-307da7531f5aba7145d4a8c44c838ee7195e8f77181f96028380cb4429cfc0f02 |
| Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
| OpenAccessLink | https://doi.org/10.1097/aog.0000000000005621 |
| PMID | 38781634 |
| PQID | 3060384727 |
| PQPubID | 23479 |
| ParticipantIDs | proquest_miscellaneous_3060384727 pubmed_primary_38781634 |
| PublicationCentury | 2000 |
| PublicationDate | 2024-July |
| PublicationDateYYYYMMDD | 2024-07-01 |
| PublicationDate_xml | – month: 07 year: 2024 text: 2024-July |
| PublicationDecade | 2020 |
| PublicationPlace | United States |
| PublicationPlace_xml | – name: United States |
| PublicationTitle | Obstetrics and gynecology (New York. 1953) |
| PublicationTitleAlternate | Obstet Gynecol |
| PublicationYear | 2024 |
| SSID | ssj0001693 |
| Score | 2.4559166 |
| Snippet | To assess contraceptive switching and discontinuation among participants enrolled in a contraceptive access project over 3 years and to identify variables... |
| SourceID | proquest pubmed |
| SourceType | Aggregation Database Index Database |
| StartPage | 79 |
| SubjectTerms | Adolescent Adult Contraception - methods Contraception - statistics & numerical data Contraception Behavior - statistics & numerical data Female Humans Longitudinal Studies Prospective Studies Utah Young Adult |
| Title | Assessing Contraceptive Switching and Discontinuation Over 3 Years in the HER Salt Lake Study |
| URI | https://www.ncbi.nlm.nih.gov/pubmed/38781634 https://www.proquest.com/docview/3060384727 |
| Volume | 144 |
| WOSCitedRecordID | wos001256808200030&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D |
| hasFullText | |
| inHoldings | 1 |
| isFullTextHit | |
| isPrint | |
| link | http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwpV1LS8QwEA7qinjx_VhfRPBabJvUpCdZdNc9uA9chXqQkqQJFCW7btf17ztpu-xJEOwhpwbKZDLzzaPfIHRFAHXoQEoPXoAAJWLSE1wJj0rKiQkIU8Yvh02wfp8nSTysE25F3Va5sImloc7GyuXIrwHa-gRMachuJ5-emxrlqqv1CI1V1CAAZZxWs2TJFu6IRlzAxRnxQkKSxa9zMbtuDR4q6sL6ARgQ_A4yS2fT2f7vZ-6grRpm4lalF7toRds9tNGrC-n76K0q9oLfwo6fairK7pa5xqPvfFa2V2JhM3yfF66XPbcVITgegOJjgl_hehQ4txjQI-62n_BIfMzwo3iH_Y6u9gC9dNrPd12vnrTgKRrxMgGVCQhcAhMJKVhAo4zCkVGqOOFasyCONDcM_FhgIOQBSMJ9JSn4MmWUb_zwEK3ZsdXHCDOIF0MuMjfKmhrJJBPc15JHTNyQLJZNdLkQXAqa7MoTwurxV5EuRddER5X000lFuZESzjggR3ryh92naDME5FH11J6hhoF7rM_RuprP8mJ6UaoIrP1h7wcGk8Om |
| linkProvider | ProQuest |
| openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Assessing+Contraceptive+Switching+and+Discontinuation+Over+3+Years+in+the+HER+Salt+Lake+Study&rft.jtitle=Obstetrics+and+gynecology+%28New+York.+1953%29&rft.au=Simmons%2C+Rebecca+G&rft.au=Carter%2C+Gentry&rft.au=Sanders%2C+Jessica+N&rft.au=Turok%2C+David+K&rft.date=2024-07-01&rft.issn=1873-233X&rft.eissn=1873-233X&rft.volume=144&rft.issue=1&rft.spage=79&rft_id=info:doi/10.1097%2FAOG.0000000000005621&rft.externalDBID=NO_FULL_TEXT |
| thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=1873-233X&client=summon |
| thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=1873-233X&client=summon |
| thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=1873-233X&client=summon |